Summary of the invention
The object of the present invention is to provide a kind of Chinese medicine composition for the treatment of acute pancreatitis.
In order to realize purpose of the present invention, Chinese medicine composition of the present invention is made by the raw material of following weight portion: Radix Scutellariae 30-60 part, Herba Taraxaci 30-60 part, Caulis Sargentodoxae 30-50 part, Fructus Aurantii Immaturus 20-40 part, Radix Bupleuri 18-38 part, Saussurea lappa Clarke 20-40 part, Semen Raphani 18-48 part, Lignum Dalbergiae Odoriferae 22-46 part, Olibanum 22-46 part.
Preferably, Chinese medicine composition of the present invention is made by the raw material of following weight portion: 48 parts of Radix Scutellariaes, 48 parts of Herba Taraxacis, 36 parts of Caulis Sargentodoxaes, 36 parts of Fructus Aurantii Immaturuss, 24 parts of Radix Bupleuri, 24 parts of Saussurea lappa Clarke, 36 parts of Semen Raphanis, 24 parts of Lignum Dalbergiae Odoriferaes, 24 parts of Olibanums.
Pancreas belongs to spleen, with stomach phase the exterior and the interior, has Tianjin pipe to be communicated with gallbladder, intestinal.The traditional Chinese medical science is thought and caused pancreatitic main cause: eating cold and uncooked food excessively, greasy delicious food, pure wine savoury cause spleen injury; Or feelings will do not relax, stagnation of QI due to depression of the liver, and long-pending, the ascarid of gallbladder pancreatolith harasses, block Tianjin and manages in addition, causes liver and gall stasis, the perverse and unreasonable manner taste; Or because of pathogenic heat, pyretic toxicity, many evil invasion and attack such as damp and hot, part of the body cavity below the umbilicus, housing the bladder, kidneys and bowels function disorder in causing finally causes pancreatitis.
Chinese medicine composition of the present invention is collaborative mutually, and the stasis of blood is dredged with fixed attention, and QI and blood is able to benefit and mends, to control adverse rising of stomach-QI, internal organs gas do not fall, depression of liver-QI and pathogenic heat go in, effects such as Sheng, qi depression to blood stasis are remarkable in the excess-heat.Chinese medicine composition of the present invention can be repaired spleen injury comprehensively, and function of spleen and stomach regulating recovers the taste normal function, finally reaches the effect of the logical pancreas of silt heat clearing away of dispelling.
Side of the present invention separates:
Radix Scutellariae: hardship, cold.Return lung, gallbladder, spleen, large intestine, small intestine meridian.Heat clearing and damp drying, eliminating fire and detoxication, hemostasis, antiabortive, blood pressure lowering.Be used for hygropyrexia, fever disease in summer vomiting and nausea uncomfortable in chest, damp and hot feeling of fullness, dysentery, jaundice, the cough due to lung-heat, the hyperpyrexia excessive thirst, heat in blood is told nosebleed, carbuncle sore tumefacting virus, frequent fetal movement.Join Radix Bupleuri, in the logical mileometer adjustment, treating SHAO YANG disease by mediation; Join Fructus Aurantii Immaturus, Cortex Magnoliae Officinalis, stomach function regulating helps digestion.
Herba Taraxaci: sweet, little hardship, cold.Heat-clearing and toxic substances removing, dispersing swelling and dissipating binds.Cure mainly upper respiratory tract infection, eye conjunctivitis, mumps, hyperglycemia, acute mastitis swells and ache, gastritis, dysentery, hepatitis, gallbladder is assisted inflammation, acute appendicitis, urinary system infection, pelvic inflammatory disease, carbuncle furuncle furuncle, pharyngitis is controlled acute mastitis, lymphadenitis, scrofula, furuncle carbuncle toxin, acute conjunctivitis, cold, fever, acute tonsillitis, acute bronchitis, urinary tract infection.
Caulis Sargentodoxae: hardship, flat.Go into stomach, large intestine channel.Heat-clearing and toxic substances removing, promoting blood circulation to remove obstruction in the collateral, the dissipating blood stasis that relieves internal heat, wind dispelling insecticide.Be used for abdominalgia with intestinal abscess, traumatic injury, dysmenorrhea, Fengshi Guanjie pain.Caulis Sargentodoxae is good at the heat-clearing and toxic substances removing eliminating stagnation, and for controlling the key medicine of acute appendicitis, normal and Radix Et Rhizoma Rhei, Cortex Magnoliae Officinalis, Herba Taraxaci or Flos Lonicerae, Fructus Forsythiae, Cortex Moutan, Semen Coicis are equal to usefulness; Control acute mastitis and swell and ache, can be equal to usefulness with Herba Taraxaci, Radix Trichosanthis, Bulbus Fritillariae Uninbracteatae, Flos Lonicerae, Fructus Forsythiae, Spica Prunellae.
Fructus Aurantii Immaturus: hardship; Hot; Cold.Return spleen; Stomach; Liver; Heart channel.Stop in stagnant; The feeling of fullness distending pain; Constipation; Heavy behind the dysentery; Blocked-up chest; Gastroptosis; Uterine prolapse; Proctoptosis.
Radix Bupleuri: hardship, be slightly cold, return Liver Channel, gallbladder meridian.Evacuation is brought down a fever, the yang invigorating soothing liver-QI.Cure mainly cold, fever, alternate attack of chill and fever, malaria, stagnation of QI due to depression of the liver, sternal rib pain, proctoptosis, the uterus comes off, menoxenia.
Saussurea lappa Clarke: hot, bitter, temperature.Promoting the circulation of QI to relieve pain, warming middle-JIAO for easing the stomach.Be used for chest and abdomen swelling and pain, the dysentery tenesmus is had loose bowels in vomiting.Acrid in the mouth, hardship, warm in nature; Return spleen, stomach, liver, large intestine channel, the fragrance row looses, and can rise and can fall.
Semen Raphani: nature and flavor: property is flat, acrid in the mouth, sweet.Return lung, spleen, stomach warp.Help digestion except expanding lowering the adverse-rising QI to resolve phlegm.Breath with cough for retention of food and drink, abdominal distention, constipation, stagnant dysentery, expectorant heap soil or fertilizer over and around the roots.Go into spleen, stomach, lung meridian, can help digestion except expanding, effect is remarkable, and the title of " falling wall towards wall " is arranged.
Lignum Dalbergiae Odoriferae: suffering, temperature.Return liver, spleen channel.Promoting flow of QI and blood, pain relieving, hemostasis.Be used for epigastric pain, hypochondriac pain due to stagnation of liverQI, thoracic obstruction twinge, injury from falling down, traumatic hemorrhage.
Olibanum: arduous, temperature.Go into the heart, liver, spleen channel.Regulating qi and activating blood, analgesic therapy chases after poison.Control coagulation of QI-blood, trusted subordinate's pain, carbuncle pyogenic infections from tumour or sore, traumatic injury, dysmenorrhea, postnatal blood stasis twinge.
Chinese medicine composition of the present invention can give the consumption of each 2-4g respectively according to the difference of conditions of patients, and every day 3 times, the morning, noon and afternoon, respectively once taking medicine before meal was used.3 days courses for the treatment of of pharmaceutical composition of the present invention, serve on the 1-2 course for the treatment of.
Preparation process of the present invention is simple, and directly being pulverized and mixed evenly routinely, the preparation process preparation gets final product.Preferably, preparation process is made clinical acceptable peroral dosage form routinely.
Described peroral dosage form is liquid oral dosage form or oral dosage form, is preferably oral dosage form, and described oral dosage form is tablet, granule, capsule, soft capsule, pill.
Aforementioned dosage form most preferably is capsule.
The preparation method of capsule of the present invention is as follows:
A, according to the present invention prescription, take by weighing the raw medicinal material Radix Scutellariae, Herba Taraxaci, Caulis Sargentodoxae, Fructus Aurantii Immaturus, Radix Bupleuri, Saussurea lappa Clarke, Semen Raphani, Lignum Dalbergiae Odoriferae, Olibanum of recipe quantity etc.; Clean, dry;
B, with above-mentioned pulverizing medicinal materials, cross 80 mesh sieves, behind ultraviolet-sterilization, insert capsule No. 0, namely.
The present invention also can water is fried takes in addition.
It is simple that the present invention prescription compared with prior art has a preparation process, and medication is simplified; Instant effect after patient takes medicine, short treating period, characteristics evident in efficacy.Can effectively treat pancreatitis with and the stomachache, the nausea and vomiting that cause, symptoms such as heating, fear of cold, excessive thirst, hyperhidrosis.Treated at present and cured example surplus the patients with acute pancreatitis 450, cure rate can reach more than 80%, and effective percentage can reach more than 98%.
Chinese medicine composition clinical therapeutic efficacy situation of the present invention:
1. physical data
The patient is the acute pancreatitis clinic case, totally 90 examples, and wherein male 60 examples account for 67%, and women 30 examples account for 33%.Be equally divided into two groups of each 45 examples, treatment group and matched group.Patient's cardinal symptom:
1). stomachache, unexpected onset, the degree weight differs, and can be dull pain, lancinating pain, drilling pain or angor, is persistence, and the paroxysmal aggravation can be arranged, and can not be that general gastrointestinal antispasmodic medicine is alleviated, and feed can aggravate.Painful area is many at middle upper abdomen, can be banded radiation to lower back, and getting the position of bending over to tuck can ease the pain.
2). feel sick, vomiting and abdominal distention, quite frequent sometimes, spue food and bile, vomiting back stomachache does not alleviate.
3). heating, most of patients have the above heating of moderate, continue 3~5 days.Persistent fever do not move back more than one week or raise day by day, leukocyte rising person should suspect that secondary infection is arranged, as pancreatic abscess or biliary tract infection etc.
4). hypotension or shock.Patient's dysphoria, palor, clammy etc.; The only a few shock is arranged.
5). the dehydration that water, electrolyte, acid-base balance and metabolism disorder have weight not wait more, hypokalemia, vomiting frequently can have metabolic alkalosis.Serious symptom person still has obvious dehydration and metabolic acidosis, hypocalcemia (<2retool/L), part accompanies blood glucose to increase, and diabetic ketoacidosis or hyperosmolar coma can take place in idol.
2. Therapeutic Method:
The treatment group is got the embodiment of the invention 1 capsule, every day 3 times, the morning, noon and afternoon each once, half an hour after meal.3 days courses for the treatment of, serve on the 1-2 course for the treatment of.Matched group is given and pancreatitis conventional therapy medicine " pancreas soup " by above-mentioned method of administration.
3. observation of curative effect and evaluation criteria: observe patient's ordinary circumstance, abdominal symptoms and sign; 3rd, capable APACHE-II scoring in 6 days, and detect serum amylase, change of serum C RP, tumor necrosis factor (TNF-α), urine lactulose/mannitol ratio.
Clinical recovery: symptom, sign are alleviated in 3 days, disappear within 4-6 days, and blood, amylase in urine recover normal.
Produce effects: symptom, sign significantly take a turn for the better in 6 days, and blood, amylase in urine recover normal.
Effectively: symptom, sign alleviate in 6 days, and blood, amylase in urine have downward trend.
Invalid: symptom does not alleviate or worsens in 7 days, and blood, amylase in urine do not reduce.
4. therapeutic outcome:
1) every cardinal symptom improvement situation relatively sees Table 1
The table 1 liang every cardinal symptom improvement of group patient situation relatively
As seen treatment group is compared with matched group has significant difference.
2) two groups of patient APACHE-II appraisal result see Table 2
Table 2 liang group patient PACHE-II scoring
Grouping | The 1st day | The 3rd day | The 6th day |
The treatment group | 8.52±1.79 | 6.24±1.25
*# | 3.84±1.33
*& |
Matched group | 8.18±2.01 | 7.89±1.71 | 6.27±1.86
* |
Annotate:
*Compared P<0.05 with the 1st day,
#Compare P<0.05 with the 3rd day matched group,
﹠amp;Compare P<0.05 with the 6th day matched group.
As seen first day two groups of patient APACHE-II scoring zero difference, the treatment group was compared with first day and is had significant difference in the time of the 3rd day, in the time of the 6th day when treatment group and the 6th day matched group significant difference is arranged.
3) two groups of patients serum's amylase change, and see Table 3
Serum amylase changes relatively before and after the table 3 liang group patient treatment
Annotate: compare in the group
*P<0.05,
*P<0.01.
Compare between group
#P<0.05.
By table 3 as seen: before the treatment, two groups of serum amylases similar (P〉0.05), two groups for the treatment of backs are obviously decline (P<0.01) before the treatment all, and treatment back treatment group and matched group also have significant difference (P<0.05), illustrate that treatment group serum amylase recovery situation is more desirable than matched group effect.
4) two groups of patients serum CRP change, and see Table 4
Change of serum C RP changes relatively before and after the table 4 liang group patient treatment
Annotate: compare in the group
*P<0.05,
*P<0.01.
Compare between group
#P<0.05.
By table 3 as seen: before the treatment, two groups of change of serum C RP levels similar (P〉0.05), the two groups of CRP levels in treatment back are compared with CRP level before the treatment has utmost point significant difference (P<0.01), and treatment back treatment group and matched group also have significant difference (P<0.05), and visible Chinese medicine composition of the present invention can significantly reduce pancreatitis change of serum C RP level.
5) two groups of patient tumors necrosins change, and see Table 5
Tumor necrosis factor (TNF-α) changes relatively before and after the table 5 liang group patient treatment
Annotate: compare in the group
*P<0.05;
Compare between group
#P<0.05.
By table 5 as seen: two groups of patient treatment pre-neoplastic necrosins (TNF-α) level similar (P〉0.05), compare before treating back treatment group and treating and have significant difference (P<0.05), and treatment back treatment group and matched group also have significant difference (P<0.05), show that Chinese medicine composition of the present invention can reduce acute critical pancreatitis patient's tumor necrosis factor level.
6) variation of two groups of patient's urine lactulose/mannitol sees Table 6
Urine lactulose/mannitol changes before and after the table 6 liang group patient treatment
Annotate: compare in the group
*P<0.05,
*P<0.01.
Compare between group
#P<0.05.
By table 6 as seen: urine lactulose/mannitol similar (P〉0.05) before two groups of patient treatments, be starkly lower than treatment preceding (P<0.05) after the treatment for the treatment of group, has significant difference, compared in the 3rd, 6 day for two groups and have significant difference, show that Chinese medicine composition of the present invention can significantly reduce the acute critical pancreatitis patient and urinate lactulose/mannitol.
To sum up outside the test, the inventor has also carried out other development tests relevant with pancreatitis, result of study shows that Chinese medicine composition of the present invention can prevent and treat the acute pancreatitis that multiple reason causes, tumor necrosis factor (TNF-α) in the significantly release of the inflammation-inhibiting factor, reduction serum or the tissue, reduce serum amylase, lipase active, reduce pancreas coefficient and pancreatic tissue water content, suppress digestive enzyme and in the pancreas glandular cell, activate, alleviate pancreas edema and necrosis, the cellular infiltration that reduces inflammation, improve the pancreatic tissue morphological change.